MS. VICKIE J CLARK (NPI# 1316105224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316105224 |
| Entity Type | Individual |
| Full Name | MS. VICKIE J CLARK |
| Credential | RN |
| Practice Address |
3151 Stoney St Shrub Oak NY 10588-0000 |
| Mailing Address |
3151 Stoney Street Phoenix House Foundation Yorktown Academy Shrub Oak NY 10588 |
| Practice Telephone | 9149622491 |
| Practice Fax Number | 9142459485 |
| Mailing Telephone | 9149622491 |
| Mailing Fax Number | 9142459485 |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2008-05-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 3283441 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760765374 | Vickie Diane Clark | Counselor | 10905 Ne 10th St, Midwest City, OK 73130-2209 | 2011-09-21 |
| 1376502369 | Vickie J Clark | Social Worker | 2303 Village Dr, St Joseph, MO 64506-4954 | 2006-03-20 |
| Street Address |
3151 STONEY ST |
| City | SHRUB OAK |
| State | NY |
| Zip Code | 10588-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720568710 | Brianna M Stephens | Specialist | 1107 Stonegate Rd, Shrub Oak, NY 10588 | 2018-08-19 |
| 1396983953 | Margaret Anne Rogers | Physical Therapist | 1086 East Main St., Shrub Oak, NY 10588 | 2009-02-04 |
| 1629130463 | Lauren Vitro | Registered Nurse | Phoenix House, 31-51 Stony St., Shrub Oak, NY 10588 | 2006-12-15 |
| 1346323862 | Rajneesh Uppal | Internal Medicine | 691 Old Route 6, Shoub Oak, NY 10588 | 2006-10-21 |
| 1952520124 | Terrence P Murphy | Chiropractor | 1010 E Main St, Shrub Oak, NY 10588 | 2007-04-25 |
| 1245593078 | Carol Mcdowell | Specialist | 1211 Dayton Ln, Shrub Oak, NY 10588-1014 | 2012-06-18 |
| 1790821239 | Jonathan S Thaler | Acupuncturist | 1220 N Ridge Rd, Pob 611, Shrub Oak, NY 10588-1033 | 2007-01-30 |
| 1487913604 | Margot Lynn Harrington | Speech-Language Pathologist | 3822 Cranberry Ln, Shrub Oak, NY 10588-1043 | 2012-05-08 |
| 1073630901 | Performance Physical Therapy | Physical Therapist | 3795 Indian Hill Rd, Shrub Oak, NY 10588-1302 | 2007-03-24 |
| 1083997415 | Dawn Marie Pellegrino | Social Worker | 1349 E Main St, Shrub Oak, NY 10588-1422 | 2011-09-22 |
| Find all providers in zip 10588 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306215991 | Michelle Mace | Registered Nurse | 1106 Stonegate Rd, Shrub Oak, NY 10588-1804 | 2015-09-24 |
| 1629130463 | Lauren Vitro | Registered Nurse | Phoenix House, 31-51 Stony St., Shrub Oak, NY 10588 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699596 | Calissa Saint Paul | Registered Nurse | 77 Gibson Blvd, Valley Stream, NY 11581-3375 | 2020-11-08 |
| 1386245199 | Alisha Tiffany Howard | Registered Nurse | 19 Lakeside Dr, Centerport, NY 11721-1513 | 2020-11-06 |
| 1114528858 | Melissa Marie Leppard | Registered Nurse | 5092 Jennifer Dr, Syracuse, NY 13212-1009 | 2020-11-06 |
| 1992306831 | Barbara Sam | Registered Nurse | 2889 Baisley Ave Apt 2fl, Bronx, NY 10461-6118 | 2020-11-06 |
| 1134720105 | Marie Degraff | Registered Nurse | 8 Forest Ave, Glen Cove, NY 11542-2122 | 2020-11-05 |
| 1144821158 | Aeneas Kwame Osei | Registered Nurse | 28 Horseshoe Way, Middletown, NY 10940-2334 | 2020-11-05 |
| 1487255543 | Samantha Lee Manzo | Registered Nurse | 1450 Deep Hole Dr, Mattituck, NY 11952-2610 | 2020-11-05 |
| 1295336261 | Janet Esmas | Registered Nurse | 200 Haven Ave Apt 5r, New York, NY 10033-5308 | 2020-11-05 |
| 1376144246 | Jessica Quaranto | Registered Nurse | 4728 Transit Rd Apt B5, Depew, NY 14043-4955 | 2020-11-05 |
| 1871194001 | Anya Khaimova | Registered Nurse | 17656 80th Rd, Jamaica, NY 11432-1409 | 2020-11-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.